course materials

1. NUR 612 Clinical Care for Older Patients Discussion
NUR 612 Clinical Care for Older Patients DiscussionNUR 612 Clinical Care for Older Patients
DiscussionDescribe your clinical experience for this week.Did you face any challenges, any
success? If so, what were they?Describe the assessment of a patient, detailing the signs and
symptoms (S&S), assessment, plan of care, and possible differential diagnosis.What did you
learn from this week’s clinical experience that can beneficial for you as an advanced
practice nurse? your plan of care with the current peer-reviewed research
guideline.Submission Instructions:Your initial post should be at least 500 words, formatted
and cited in current APA style with from at least 2 academic sources. Your initial post is
worth 8 points.PLEASE ANSWER ALL THE QUESTIONS, ALSO PLEASE DO THIS ON
ARTHRITIS. THIS IS A CLINIC NOT A HOSPITAL SETTING. I HAVE ALSO ATTACHED THE
BOOK TO BE USED AS A REFERENCE THANK YOU NUR 612 Clinical Care for Older Patients
DiscussionORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSADVANCED
PRACTICE NURSING in the Care of Older Adults SECOND EDITION ADVANCED PRACTICE
NURSING in the Care of Older Adults SECOND EDITION Laurie Kennedy-Malone, PhD, GNP-
BC, FAANP, FGSA Professor of Nursing, School of Nursing University of North Carolina at
Greensboro Greensboro, North Carolina Lori Martin-Plank, PhD, FNP-BC, NP-C, GNP-BC,
FAANP Clinical Associate Professor, College of Nursing University of Arizona Tucson,
Arizona Evelyn Groenke Duffy, DNP, AGPCNP-BC, FAANP Associate Professor Director of the
Adult-Gerontology Primary Care Nurse Practitioner Program Associate Director of the
University Center on Aging and Health Frances Payne Bolton School of Nursing Case
Western Reserve University Cleveland, Ohio F. A. Davis Company 1915 Arch Street
Philadelphia, PA 19103 www.fadavis.com Copyright © 2019 by F. A. Davis Company
Copyright © 2019 by F. A. Davis Company. All rights reserved. This book is protected by
copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in
any form or by any means, electronic, mechanical, photocopying, recording, or otherwise,
without written permission from the publisher. Printed in the United States of America Last
digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Senior Acquisitions Editor: Susan R.
Rhyner Manager of Project and eProject Management: Catherine H. Carroll Senior Content
Project Manager: Christine Abshire Design and Illustration Manager: Carolyn O’Brien As
new scientific information becomes available through basic and clinical research,
recommended treatments and drug therapies undergo changes. The author(s) and
publisher have done everything possible to make this book accurate, up to date, and in
accord with accepted standards at the time of publication. The author(s), editors, and

2. publisher are not responsible for errors or omissions or for consequences from application
of the book, and make no warranty, expressed or implied, in regard to the contents of the
book. Any practice described in this book should be applied by the reader in accordance
with professional standards of care used in regard to the unique circumstances that may
apply in each situation. NUR 612 Clinical Care for Older Patients DiscussionThe reader is
advised always to check product information (package inserts) for changes and new
information regarding dose and contraindications before administering any drug. Caution is
especially urged when using new or infrequently ordered drugs. Library of Congress
Cataloging-in-Publication Data Names: Kennedy-Malone, Laurie, 1957- author. | Plank, Lori
Martin, author. | Duffy, Evelyn Groenke, author. Title: Advanced practice nursing in the care
of older adults [electronic resource] / Laurie Kennedy-Malone, Lori Martin-Plank, Evelyn
Groenke Duffy. Description: 2nd edition. | Philadelphia : F.A. Davis Company, [2019] |
Includes bibliographical references and index. Identifiers: LCCN 2018038367 (print) | LCCN
2018039007 (ebook) | ISBN 9780803694798 | ISBN 9780803666610 (pbk.) Subjects: |
MESH: Geriatric Nursing—methods | Advanced Practice Nursing | Palliative Care | Geriatric
Assessment Classification: LCC RC954 (ebook) | LCC RC954 (print) | NLM WY 152 | DDC
618.97/0231—dc23 LC record available at https://lccn.loc.gov/2018038367 Authorization
to photocopy items for internal or personal use, or the internal or personal use of specific
clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance
Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid
directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have
been granted a photocopy license by CCC, a separate system of payment has been arranged.
The fee code for users of the Transactional Reporting Service is: 978-0-8036-66610/19 0 +
$.25. I dedicate this book to my husband Chris and my son Brendan for their unwavering
during the writing of this book. To my parents, Nancy and Edward Kennedy, you continue to
be models of successful aging that motivate me to continue to be passionate about advanced
practice gerontological nursing. To graduates that I have worked with over the years, your
continued dedication and expertise in working with older adults is appreciated and
admired; thanks to those who also served as contributors to this edition. —L.K.-M. To my
husband Rick and daughter Erin, thank you both for your patience and encouragement
throughout the writing of this book. To my patients, who are also my teachers, thank you for
entrusting your health to me; it has been my honor and privilege to serve you and to learn
from you. —NUR 612 Clinical Care for Older Patients DiscussionL.M.-P. To my husband
Mark who ed me as I worked on this book in New Zealand, England, Italy, Ireland,
Colorado—on every vacation we have taken. To my children Patrick, Colin, and Caitlin and
my fabulous GNP daughter-in-law Kristen—you bless me every day. To my Aunt Karleen
Groenke Sime who inspired me to become a nurse. To my father John and my in-laws
Shirley and Art, who continue to live vital lives in their late 80s. Finally, to all my patients
who challenge me to be the best provider I can be and my students who motivate me to
constantly be better. —E. G. D. Preface With the continued rapid growth of the older adult
population, there remains an increased demand for health-care providers to deliver age-
specific care and direct disease management. Advanced Practice Nursing in the Care of
Older Adults will serve as a guide for advanced practice nurses who are privileged to

3. provide care to older adults. Designed as a text for students, as well as a reliable source of
evidence-based practice for advanced practice nurses, this book contains information on
healthy aging, comprehensive geriatric assessment, and common symptoms and illnesses
that present in older adults. Given the complexity of prescribing for older adults taking
multiple medications, a new chapter on polypharmacy is included. The book concludes with
a chapter on care delivery for patients with chronic illnesses who face end-oflife care.
Throughout the book, case studies are included to provide further practice and review. An
important feature of this book is the use of the Strength of Recommendation Taxonomy
(SORT) [Ebell, M. H., Siwek, J., Weiss, B. D., Woolf, S. H., Susman, J., Ewigman, B., & Bowman,
M. (2004). Strength of recommendation taxonomy (SORT): A patient-centered approach to
grading evidence in medical literature American Family Physician, 69(3), 548–556], which
provides a direct reference to evidence-based practice recommendations for clinicians to
consider in the care of older adults. In Unit I, “The Healthy Older Adult,” the first chapter,
“Changes with Aging,” addresses the normal changes of aging, expected laboratory values in
older adults, presentation of illness, atypical disease presentation, bimodal conditions, and
the impact of chronic illness on functional capacity. In the second chapter, “Health
Promotion,” updated information pertaining to health promotion and disease prevention
strategies for older adults from Healthy People 2020 and the U.S. Preventive Services Task
Force (USPSTF) is provided, including an immunization schedule and information on the
Welcome to Medicare Visit.NUR 612 Clinical Care for Older Patients DiscussionAlso covered
is an overview of physical activity, sexual behavior, dental health, and substance use, as well
as a section pertaining to the older traveler. Recommendations for exercise and safe
physical activity are provided in this unit. Unit II, “Assessment,” opens with a detailed
chapter on comprehensive geriatric assessment. Information on physical, functional, and
psychological health is delineated, and information on quality of life measures is included.
Next is the fifth chapter, “Symptoms and Syndromes,” which provides the clinician with a
concise description of more than 20 symptoms prevalent in older adults. A rapid reference
detailing common contributing factors and associated symptoms and clinical signs that
should be worked up for each presenting condition is included. Recommendations for
diagnostic tests with accompanying results are used to form a differential diagnosis. Unit III,
“Treating Disorders,” provides 11 chapters of concise, updated information pertaining to
disease management of illnesses common in older adults, presented by body systems. Each
chapter opens with an assessment section that provides the reader with a focused review of
systems and the physical examinations needed to obtain pertinent information for
diagnosis and treatment of the older adult. Signal symptoms indicating atypical
presentation of illness are highlighted at the beginning of each condition. The discussion of
each problem and disorder follows a consistent monograph format: ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?
? Signal symptoms Description Etiology Occurrence Age Ethnicity Gender Contributing
factors Signs and symptoms Diagnostic tests Differential diagnosis Treatment Follow-up
Sequelae Prevention/prophylaxis Referral Education Unit IV, NUR 612 Clinical Care for
Older Patients Discussion“Complex Illness,” addresses complex management of patients
requiring chronic illness management, palliative care, and ive care at end of life, and
includes a new chapter on polypharmacy. The text concludes with two appendices—

4. “Physiological Influences of the Aging Process” and “Laboratory Values in the Older
Adult”—both of which are ready references for the busy practitioner. In addition to the
content of the book, a Bonus Chapter, Nutritional in the Older Adult, selected References,
and other online resources to aid the user in practice and review of the key concepts are
available at DavisPlus. Case studies are provided to critical thinking and are available for
users to complete on their own or for educators to incorporate into their course
requirements. To enhance the delivery of competency-based education, the case studies
were mapped to the Adult-Gerontology Primary Care Nurse Practitioner Competencies
(2016). For the faculty, there are PowerPoint presentations and a well-developed test bank
located on DavisPlus. The vii viii Preface Active Classroom Instructors’ Guide is an online
faculty resource that maps the resources available with the text and includes lecture notes
and additional case studies. This book is written by and for advanced practice nurses
involved in the care of older adults across multiple settings of care. While intended as a
guide for the management of care for older adults, clinicians are encouraged to deliver
individualized, patient-centered care considering the latest clinical practice guidelines on
prevention and management of conditions common in older adults. REFERENCE National
Organization of Nurse Practitioner Faculties. (2016). AdultGerontology Acute Care and
Primary Care Nurse Practitioner competencies. Retrieved from
http://c.ymcdn.com/sites/www.nonpf.org/
resource/resmgr/competencies/NP_Adult_Geri_competencies_4.pdf. Contributors Sue A.
Anderson, PhD, RN, FNP-BC Lisa Byrd, PhD, FNP, GNP, FAANP Associate Professor, Family
Nurse Practitioner Program Coordinator Saint Mary’s College Notre Dame, Indiana
Epistaxis; Rhinitis; Asthma Practice Administrator Florida Health Care Plans Nurse
Practitioner, Assistant Professor University of South Alabama Lake Mary, Florida Bowel
Incontinence; Diarrhea; Fatigue; Urinary Incontinence; Wandering Louann Bailey, CRNP
Nurse Practitioner Inpatient Medical Services Akron, Ohio Chest Pain Tracy Ballard, MSN,
GNP-BC Nurse Practitioner Optum Greensboro, North Carolina Gastroenteritis Judith A.
Berg, PhD, RN, WHNP-BC, FAANP, FNAP, FAAN Clinical Professor The University of Arizona
College of Nursing San Diego, California Atrophic Vaginitis; Breast Cancer Sharon Biby, MSN,
APRN, ANVP-BC, AGPCNP-BC Nurse Practitione NUR 612 Clinical Care for Older Patients
Discussion